Return of Organization Exempt From Income Tax · 2019. 5. 21. · Application for Automatic Extension of Time To File an Exempt Organization Return Form 86 (Rev. IJanuary 2017) OMB

Return of Organization Exempt From Income Tax

Form 990 Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations) Department of the Treasury

~ Do not enter Social Security numbers on this form as it may be made public.

Internal Revenue Service ~ Information about Form 990 and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

~@17 Open to Public

Inspection

A For the 2017 calendar year, or tax year beginning 10/01, 2017, and ending 09/30' 20 18

B Check if applicable: c Name of organization D Employer identification number

CHILD MIND INSTITUTE, INC. ,---

Address X r-- change

Name change !--

Initia l return i--

Number and street (or P.O. box if mail is not delivered to street address)

Doing Business As 8 0-0 4 7 8 8 4 3 E Telephone number

101 EAST 56TH STREET

I Room/suite (212) 308-3118

Terminated City or town, state or province, country, and ZIP or foreign postal code -Amended return

NEW YORK, NY 10022 G Gross receipts $ 27,125,559. -

App li cation

- pending F Name and address of principal officer: DR. HAROLD KOPLEWI CZ MD H(a) Is this a group return for B Yes

subordinates?

~~~~~~~-1_0~1~ErA_S~T~5_6_T~H~S_T~R_E_E_T~_N_E_W~_Y_O_R_K~' ~N_Y~_1_0~0_2~2~~~~~~~~~~ ~~ A~~~bmd~d-~~~~? Yes Tax-exempt status: I X I 501 (c)(3) I I 501 (c) ( ) ..... (insert no.) I I 4947(a)(1) or I I 527 If "No," attach a list. (see instruct1ons)

J Website: ~ WWW. CHILDMIND. ORG H(c) Group exemption number ~

K Form of organization : I X I Corporation I I Trust I I Association I I Other ~ I L Year of formation : 2 0 0 91 M State of legal domicile:

IJD No

O No

NY

•:r.TII• Summary 1 Briefly describe the organization's mission or most significant activities -~~-~-~_!J_E_?}_C_!'_I_5:_1? _ _!_?_!~~!:!~~~~~!~~-!~~------

LIVES OF CHILDREN STRUGGLING WITH MENTAL HEALTH AND LEARNING

DISORDERS.

2 Ch;ck this-bo~-~ -0 if- th; ~r;;ni;ti~n-di;c~~~n-u~d i(; ;~e~~~~; ;r-dfs~;s~d ~~ ;;~r; th~~ 25o~ ;[it~ ~;t-a~;ets~- ---------------3 Number of voting members of the governing body (Part VI, line 1 a) 3 31 ·

4 Number of independent voting members of the governing body (Part VI, line 1 b) . 4 31 ·

5 Total number of individuals employed in calendar year 2017 (Part V, line 2a).

6 Total number of volunteers (estimate if necessary)

7a Total unrelated business revenue from Part VIII. column (C), line 12

:J t:

8

9 ;;; 10

0::: 11

b Net unrelated business taxable income from Form 990-T, line 34

Contributions and grants (Part VIII, line 1 h).

Program service revenue (Part VIII, line 2g),

Investment income (Part VIII, column (A), lines 3, 4, and 7d)

Other revenue (Part VIII , column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) .

COPY FOR

PUBLIC INSPECTION

12 Total revenue- add lines 8 through 11 (must equal Part VIII , column (A), line 12).

13

14

Grants and similar amounts paid (Part IX, column (A), lines 1-3) .

Benefits paid to or for members (Part IX, column (A), line 4) .

:!l 15 Salaries , other compensation, employee benefits (Part IX, column (A), lines 5-10). :g 16 a Professional fundraising fees (Part IX, column (A), line 11 e) .

~ b Total fundraising expenses (Part IX, column (D), line 25) ~ _____ 2_!_4_0_7.!._5'!?}.-_:. _____ _ w 17 Other expenses (Part IX, column (A), lines 11 a-11d, 11f-24e)

18 Total expenses. Add lines 13-17 (must equal Part IX, column (A), line 25)

19

I:F.:filll

Revenue less expenses. Subtract line 18 from line 12 .

Total assets (Part X, line 16) .

Total liabilities (Part X, line 26).

Net assets or fund balances. Subtract line 21 from line 20.

Signature Block

5 111.

6 4 9 .

7a 0

7b 65, 634

Prior Year Current Year

16,172,646. 14,478,694

52,762 . 79,241

222 , 512. 393 ,611

778 ,9 59. 908,060

17 , 226 , 879. 15,859,606

976,992. 628 , 901

0. 0

7,617,421. 8, 850,637

232,600. 201,700

5 , 332,212. 7 , 158,857

14 ,159, 225. 16,840,095.

3,067,654. -980,489

Beginning of Current Year End of Year

27,274 ,359. 26, 639,068.

2,046,238. 2, 703 , 966.

25,228,121. 23,935,102.

Under penalties of perjury, I declare that I have examined this return , including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge

Sign Here

Paid

~ '''".J:t:J.rb../ _, -- ~x~ I o-·· .._ H~ttZ..oc-l') $. {C.o i'L'.IE...VIC-1- MJ> lre._,~,-A..,~ J-/ J....o /t1 ~ Type or print name and title

Print/Type preparer's name

CANDICE METH self-employed P01306891 I p reparer's signature I Date I Check U if I PTI N

Preparer r-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-UseOnly Firm'sname ~ EISNERAMPER LLP Firm'sEIN ~ 13-1639826

Firm'saddress ~ 750 THIRD AVENUE NEW YORK, NY 100 1 7-2703 I Phone no. 212-949-8700 May the IRS discuss this return with the preparer shown above? (see instructions) . . . . . . . .lXJYes l jNo

For Paperwork Reduction Act Notice, sec the separate instructions. Form 990 (2017)

JSA 7E1065 1.000

0678GL L161 5/3/2019 12 : 2 5 : 3 5 PM V 17 - 7 . 10 310099

Application for Automatic Extension of Time To File anExempt Organization Return

Form 8868(Rev. January 2017) OMB No. 1545-1709

I File a separate application for each return.Department of the TreasuryInternal Revenue Service I Information about Form 8868 and its instructions is at www.irs.gov/form8868.Electronic filing (e-file). You can electronically file Form 8868 to request a 6-month automatic extension of time to file any of theforms listed below with the exception of Form 8870, Information Return for Transfers Associated With Certain Personal BenefitContracts, for which an extension request must be sent to the IRS in paper format (see instructions). For more details on the electronicfiling of this form, visit www.irs.gov/efile, click on Charities & Non-Profits, and click on e-file for Charities and Non-Profits.

Automatic 6-Month Extension of Time. Only submit original (no copies needed).

All corporations required to file an income tax return other than Form 990-T (including 1120-C filers), partnerships, REMICs, and trusts

must use Form 7004 to request an extension of time to file income tax returns.

Enter filer's identifying number, see instructions

Name of exempt organization or other filer, see instructions. Employer identification number (EIN) orType orprint

File by thedue date forfiling yourreturn. Seeinstructions.

Number, street, and room or suite no. If a P.O. box, see instructions.

City, town or post office, state, and ZIP code. For a foreign address, see instructions.

Social security number (SSN)

m m m m m m m m m m m mEnter the Return Code for the return that this application is for (file a separate application for each return)Application

Is For

Return

Code

Application

Is For

Return

Code

Form 990 or Form 990-EZ

Form 990-BL

Form 4720 (individual)

Form 990-PF

Form 990-T (sec. 401(a) or 408(a) trust)

Form 990-T (trust other than above)

01

02

03

04

05

06

Form 990-T (corporation)

Form 1041-A

Form 4720 (other than individual)

Form 5227

Form 6069

Form 8870

07

08

09

10

11

12

% IThe books are in the care ofI ITelephone No. Fax No.

%%

IIf the organization does not have an office or place of business in the United States, check this boxIf this is for a Group Return, enter the organization's four digit Group Exemption Number (GEN)

m m m m m m m m m m m m m m m. If this is

I Ifor the whole group, check this box . If it is for part of the group, check this box and attachm m m m m m m m m m m m ma list with the names and EINs of all members the extension is for.

1 I request an automatic 6-month extension of time until , 20 , to file the exempt organization return

for the organization named above. The extension is for the organization’s return for:

II

calendar year 20 or

tax year beginning , 20 , and ending , 20 .

2 If the tax year entered in line 1 is for less than 12 months, check reason: Initial return Final return

Change in accounting period

3a If this application is for Forms 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any

nonrefundable credits. See instructions. 3a

3b

3c

$

$

$

b If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and

estimated tax payments made. Include any prior year overpayment allowed as a credit.

c Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, by using EFTPS

(Electronic Federal Tax Payment System). See instructions.

Caution. If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-EO and Form 8879-EO for payment

instructions.

For Privacy Act and Paperwork Reduction Act Notice, see instructions. Form 8868 (Rev. 1-2017)

JSA

7F8054 1.000

80-0478843CHILD MIND INSTITUTE, INC.

445 PARK AVENUE

NEW YORK, NY 10022

0 1

DAVID RIVERA-GARCIA DIR OF FIN445 PARK AVENUE NEW YORK NY 10022

212 308-3118 646 625-4348

08/15 19

X 10/01 17 09/30 18

0.

0.

0.

0678GL L161 2/8/2019 9:06:41 AM V 17-7.10 310099

Form 990 (2017) Page 2

Statement of Program Service Accomplishments Part III Check if Schedule O contains a response or note to any line in this Part III m m m m m m m m m m m m m m m m m m m m m m m m

1 Briefly describe the organization's mission:

2 Did the organization undertake any significant program services during the year which were not listed on the

prior Form 990 or 990-EZ? Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," describe these new services on Schedule O.

3 Did the organization cease conducting, or make significant changes in how it conducts, any program

services? Yes Nom m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," describe these changes on Schedule O.

4 Describe the organization's program service accomplishments for each of its three largest program services, as measured by

expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others,

the total expenses, and revenue, if any, for each program service reported.

4a (Code: ) (Expenses $ including grants of $ ) (Revenue $ )

4b (Code: ) (Expenses $ including grants of $ ) (Revenue $ )

4c (Code: ) (Expenses $ including grants of $ ) (Revenue $ )

4d Other program services (Describe in Schedule O.)

(Expenses $ including grants of $ ) (Revenue $ )

I4e Total program service expenses JSA Form 990 (2017)7E1020 1.000

CHILD MIND INSTITUTE, INC. 80-0478843

X

SEE SCHEDULE O.

X

X

1,945,808.

PUBLIC EDUCATION AND OUTREACH

6,016,543. 48,193. 79,241.

SCIENCE AND INNOVATION

1,605,525. 580,708.

ACCESS TO CLINICAL CARE

9,567,876.

0678GL L161 5/3/2019 12:25:35 PM V 17-7.10 310099

Form 990 (2017) Page 3

Checklist of Required Schedules Part IV Yes No

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes,"

complete Schedule A 1

2

3

4

5

6

7

8

9

10

11a

11b

11c

11d

11e

11f

12a

12b

13

14a

14b

15

16

17

18

19

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIs the organization required to complete Schedule B, Schedule of Contributors (see instructions)? m m m m m m m m m mDid the organization engage in direct or indirect political campaign activities on behalf of or in opposition to

candidates for public office? If "Yes," complete Schedule C, Part I m m m m m m m m m m m m m m m m m m m m m m m m m m mSection 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h)

election in effect during the tax year? If "Yes," complete Schedule C, Part II m m m m m m m m m m m m m m m m m m m m m mIs the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues,

assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,

Part III m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization maintain any donor advised funds or any similar funds or accounts for which donors

have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If

"Yes," complete Schedule D, Part I m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization receive or hold a conservation easement, including easements to preserve open space,

the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II m m m m m m m m m mDid the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"

complete Schedule D, Part III m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization report an amount in Part X, line 21, for escrow or custodial account liability, serve as a

custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or

debt negotiation services? If "Yes," complete Schedule D, Part IV m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization, directly or through a related organization, hold assets in temporarily restricted

endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part V m m m m m m m mIf the organization's answer to any of the following questions is "Yes," then complete Schedule D, Parts VI,

VII, VIII, IX, or X as applicable.

a

b

c

d

e

f

a

Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes,"

complete Schedule D, Part VI m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization report an amount for investments-other securities in Part X, line 12 that is 5% or more

of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII m m m m m m m m m m m m m m m m mDid the organization report an amount for investments-program related in Part X, line 13 that is 5% or more

of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII m m m m m m m m m m m m m m m m mDid the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets

reported in Part X, line 16? If "Yes," complete Schedule D, Part IX m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X m m m m m m mDid the organization's separate or consolidated financial statements for the tax year include a footnote that addresses

the organization's liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X m m m m m mDid the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete

Schedule D, Parts XI and XII m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mb

a

b

Was the organization included in consolidated, independent audited financial statements for the tax year? If

"Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional mIs the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E m m m m m m m m m m mDid the organization maintain an office, employees, or agents outside of the United States?m m m m m m m m m m m m mDid the organization have aggregate revenues or expenses of more than $10,000 from grantmaking,

fundraising, business, investment, and program service activities outside the United States, or aggregate

foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV m m m m m m m m m m mDid the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or

for any foreign organization? If "Yes," complete Schedule F, Parts II and IV m m m m m m m m m m m m m m m m m m m m m mDid the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other

assistance to or for foreign individuals? If "Yes," complete Schedule F, Parts III and IV m m m m m m m m m m m m m m m mDid the organization report a total of more than $15,000 of expenses for professional fundraising services on

Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) m m m m m m m m m m m m mDid the organization report more than $15,000 total of fundraising event gross income and contributions on

Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a?

If "Yes," complete Schedule G, Part III m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mForm 990 (2017)

JSA7E1021 1.000


XX

X

X

X

X

X

X

X

X

X

X

X

XX

X

X

X X X

X

X

X

X

X

X

0678GL L161 5/3/2019 12:25:35 PM V 17-7.10 310099

Form 990 (2017) Page 4

Checklist of Required Schedules (continued) Part IV Yes No

20a

20b

21

22

23

24a

24b

24c

24d

25a

25b

26

27

28a

28b

28c

29

30

31

32

33

34

35a

35b

36

37

38

20

21

22

23

24

25

26

27

28

29

30

31

32

33

34

35

36

37

38

a

b

a

b

c

d

Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H

If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?

m m m m m m m m m m m m mm m m m m m

Did the organization report more than $5,000 of grants or other assistance to any domestic organization or

domestic government on Part IX, column (A), line 1? If "Yes," complete Schedule I, Parts I and II m m m m m m m m m mDid the organization report more than $5,000 of grants or other assistance to or for domestic individuals on

Part IX, column (A), line 2? If "Yes," complete Schedule I, Parts I and III m m m m m m m m m m m m m m m m m m m m m m m mDid the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the

organization's current and former officers, directors, trustees, key employees, and highest compensated

employees? If "Yes," complete Schedule J m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization have a tax-exempt bond issue with an outstanding principal amount of more than

$100,000 as of the last day of the year, that was issued after December 31, 2002? If "Yes," answer lines 24b

through 24d and complete Schedule K. If "No," go to line 25a m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?m m m m m m mDid the organization maintain an escrow account other than a refunding escrow at any time during the year

to defease any tax-exempt bonds? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year? m m m m m m

a

b

a

b

c

Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit

transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I m m m m m m m m m m m mIs the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior

year, and that the transaction has not been reported on any of the organization's prior Forms 990 or 990-EZ?

If "Yes," complete Schedule L, Part I m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any

current or former officers, directors, trustees, key employees, highest compensated employees, or

disqualified persons? If "Yes," complete Schedule L, Part II m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization provide a grant or other assistance to an officer, director, trustee, key employee,

substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled

entity or family member of any of these persons? If "Yes," complete Schedule L, Part III m m m m m m m m m m m m m m mWas the organization a party to a business transaction with one of the following parties (see Schedule L,

Part IV instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV m m m m m m mA family member of a current or former officer, director, trustee, or key employee? If "Yes," complete

Schedule L, Part IVm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mAn entity of which a current or former officer, director, trustee, or key employee (or a family member thereof)

was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV m m m m m m m m mDid the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M m m m mDid the organization receive contributions of art, historical treasures, or other similar assets, or qualified

conservation contributions? If "Yes," complete Schedule M m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,

Part I m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes,"

complete Schedule N, Part II m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization own 100% of an entity disregarded as separate from the organization under Regulations

sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I m m m m m m m m m m m m m m m m m m m mWas the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III,

or IV, and Part V, line 1 m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m ma

b

Did the organization have a controlled entity within the meaning of section 512(b)(13)? m m m m m m m m m m m m m mIf "Yes" to line 35a, did the organization receive any payment from or engage in any transaction with a

controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 m m m m mSection 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable

related organization? If "Yes," complete Schedule R, Part V, line 2 m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization conduct more than 5% of its activities through an entity that is not a related organization

and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R,

Part VI m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and

19? Note. All Form 990 filers are required to complete Schedule O.

Form 990 (2017)

JSA

7E1030 1.000


X

X

X

X

X

X

X

X

X

X

X

XX

X

X

X

X

X X

X

X

X

0678GL L161 5/3/2019 12:25:35 PM V 17-7.10 310099

Form 990 (2017) Page 5

Statements Regarding Other IRS Filings and Tax ComplianceCheck if Schedule O contains a response or note to any line in this Part V

Part V m m m m m m m m m m m m m m m m m m m m m

Yes No

1a

1b

2a

7d

1

2

3

4

5

6

7

8

9

10

11

12

13

14

a

b

c

a

b

a

b

a

b

a

b

c

a

b

a

b

c

d

e

f

g

h

a

b

a

b

a

b

a

b

a

b

c

a

Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable m m m m m m m m m mEnter the number of Forms W-2G included in line 1a. Enter -0- if not applicable m m m m m m m m mDid the organization comply with backup withholding rules for reportable payments to vendors and

reportable gaming (gambling) winnings to prize winners? 1c

2b

3a

3b

4a

5a

5b

5c

6a

6b

7a

7b

7c

7e

7f

7g

7h

8

9a

9b

12a

13a

14a

14b

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mEnter the number of employees reported on Form W-3, Transmittal of Wage and Tax

Statements, filed for the calendar year ending with or within the year covered by this return m mIf at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions) m m m m m m mDid the organization have unrelated business gross income of $1,000 or more during the year? m m m m m m m m m m mIf "Yes," has it filed a Form 990-T for this year? If "No" to line 3b, provide an explanation in Schedule O m m m m m m m mAt any time during the calendar year, did the organization have an interest in, or a signature or other authority

over, a financial account in a foreign country (such as a bank account, securities account, or other financial

account)? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIIf "Yes," enter the name of the foreign country:

See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts

(FBAR).Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? m m m m m m m m mDid any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If "Yes" to line 5a or 5b, did the organization file Form 8886-T?m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDoes the organization have annual gross receipts that are normally greater than $100,000, and did the

organization solicit any contributions that were not tax deductible as charitable contributions?m m m m m m m m m m mIf "Yes," did the organization include with every solicitation an express statement that such contributions or

gifts were not tax deductible?m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mOrganizations that may receive deductible contributions under section 170(c).

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods

and services provided to the payor? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," did the organization notify the donor of the value of the goods or services provided? m m m m m m m m m m m mDid the organization sell, exchange, or otherwise dispose of tangible personal property for which it was

required to file Form 8282? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," indicate the number of Forms 8282 filed during the year m m m m m m m m m m m m m m m mDid the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? m m m m mIf the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? m mSponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the

sponsoring organization have excess business holdings at any time during the year? m m m m m m m m m m m m m m m m mSponsoring organizations maintaining donor advised funds.

Did the sponsoring organization make any taxable distributions under section 4966?

Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders

m m m m m m m m m m m m m m m m mm m m m m m m m m m

10a

10b

11a

11b

12b

13b

13c

m m m m m m m m m m m m m mm m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m mGross income from other sources (Do not net amounts due or paid to other sources

against amounts due or received from them.) m m m m m m m m m m m m m m m m m m m m m m m m m m mSection 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?

If "Yes," enter the amount of tax-exempt interest received or accrued during the year m m m m m mSection 501(c)(29) qualified nonprofit health insurance issuers.

Is the organization licensed to issue qualified health plans in more than one state? m m m m m m m m m m m m m m m m m mNote. See the instructions for additional information the organization must report on Schedule O.

Enter the amount of reserves the organization is required to maintain by the states in which

the organization is licensed to issue qualified health plans m m m m m m m m m m m m m m m m m m m mEnter the amount of reserves on hand m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization receive any payments for indoor tanning services during the tax year? m m m m m m m m m m m m m

b If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O m m m m m mJSA

Form 990 (2017)7E1040 1.000


X

850.

X

111X

XX

X

X X

X

XX

X

X X

X

0678GL L161 5/3/2019 12:25:35 PM V 17-7.10 310099

Form 990 (2017) Page 6

Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" Part VI response to line 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.m m m m m m m m m m m m m m m m m m m m m m m mCheck if Schedule O contains a response or note to any line in this Part VI

Section A. Governing Body and ManagementYes No

1a

1b

1

2

3

4

5

6

7

8

a

b

a

b

a

b

Enter the number of voting members of the governing body at the end of the tax year m m m m mIf there are material differences in voting rights among members of the governing body, orif the governing body delegated broad authority to an executive committee or similarcommittee, explain in Schedule O.

Enter the number of voting members included in line 1a, above, who are independent m m m m m2

3

4

5

6

7a

7b

8a

8b

9

10a

10b

11a

12a

12b

12c

13

14

15a

15b

16a

16b

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with

any other officer, director, trustee, or key employee? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization delegate control over management duties customarily performed by or under the direct

supervision of officers, directors, or trustees, or key employees to a management company or other person? m mDid the organization make any significant changes to its governing documents since the prior Form 990 was filed?

Did the organization become aware during the year of a significant diversion of the organization's assets?

Did the organization have members or stockholders?

m m m m m mm m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization have members, stockholders, or other persons who had the power to elect or appoint

one or more members of the governing body? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mAre any governance decisions of the organization reserved to (or subject to approval by) members,

stockholders, or persons other than the governing body? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization contemporaneously document the meetings held or written actions undertaken during

the year by the following:

The governing body?

Each committee with authority to act on behalf of the governing body?

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m

9 Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached atthe organization's mailing address? If "Yes," provide the names and addresses in Schedule O m m m m m m m m m m m

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)Yes No

10

11

12

13

14

15

16

a

b

a

b

a

b

c

a

b

a

b

Did the organization have local chapters, branches, or affiliates? m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," did the organization have written policies and procedures governing the activities of such chapters,

affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes? m m mHas the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? mDescribe in Schedule O the process, if any, used by the organization to review this Form 990.

Did the organization have a written conflict of interest policy? If "No," go to line 13 m m m m m m m m m m m m m m m mWere officers, directors, or trustees, and key employees required to disclose annually interests that could give

rise to conflicts? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes,"

describe in Schedule O how this was done m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mDid the organization have a written whistleblower policy?

Did the organization have a written document retention and destruction policy?

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m

Did the process for determining compensation of the following persons include a review and approval by

independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

The organization's CEO, Executive Director, or top management official

Other officers or key employees of the organization

If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).

m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement

with a taxable entity during the year? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mIf "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its

participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard theorganization's exempt status with respect to such arrangements? m m m m m m m m m m m m m m m m m m m m m m m m m

Section C. Disclosure

I1718

19

20

List the states with which a copy of this Form 990 is required to be filed

Section 6104 requires an organization to make its Forms 1023 (or 1024 if applicable), 990, and 990-T (Section 501(c)(3)s only)available for public inspection. Indicate how you made these available. Check all that apply.

Own website Another's website Upon request Other (explain in Schedule O)

Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and

financial statements available to the public during the tax year.

IState the name, address, and telephone number of the person who possesses the organization's books and records:JSA Form 990 (2017)7E1042 1.000


X

31

31

X

X X X X

X

X

XX

X

X

X

X

X

XXX

XX

X

ATTACHMENT 1

X X

DAVID RIVERA-GARCIA DIR OF FIN 101 EAST 56TH STREET NEW YORK, NY 10022 212-308-3118

0678GL L161 5/3/2019 12:25:35 PM V 17-7.10 310099

Form 990 (2017) Page 7Compensation of Officers, Directors, Trustees, Key Employees, Highest Compensated Employees, andIndependent Contractors

Part VII

Check if Schedule O contains a response or note to any line in this Part VII m m m m m m m m m m m m m m m m m m m m m m m m m m m mSection A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within theorganization's tax year.

% List all of the organization's current officers, directors, trustees (whether individuals or organizations), regardless of amount ofcompensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

%%

List all of the organization's current key employees, if any. See instructions for definition of "key employee."

List the organization's five current highest compensated employees (other than an officer, director, trustee, or key employee)who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from theorganization and any related organizations.

%%

List all of the organization's former officers, key employees, and highest compensated employees who received more than$100,000 of reportable compensation from the organization and any related organizations.

List all of the organization's former directors or trustees that received, in the capacity as a former director or trustee of theorganization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highestcompensated employees; and former such persons.

Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.

(C)

Position

(do not check more than one

box, unless person is both an

officer and a director/trustee)

(A) (B) (D) (E) (F)

Name and Title Average

hours per

week (list any

hours for

related

organizations

below dotted

line)

Reportable

compensation

from

the

organization

(W-2/1099-MISC)

Reportable

compensation from

related

organizations

(W-2/1099-MISC)

Estimated

amount of

other

compensation

from the

organization

and related

organizations

Ind

ivid

ua

l truste

eo

r dire

ctor

Institu

tion

al tru

ste

e

Office

r

Key e

mp

loye

e

Hig

he

st co

mp

en

sa

ted

em

plo

ye

e

Fo

rme

r

(1)

(2)

(3)

(4)

(5)

(6)

(7)

(8)

(9)

(10)

(11)

(12)

(13)

(14)

Form 990 (2017)JSA7E1041 1.000


BROOKE GARBER NEIDICH 6.00CHAIR AND DIRECTOR 0. X X 0. 0. 0.DEBRA PERELMAN 6.00VICE CHAIR AND DIRECTOR 0. X X 0. 0. 0.ELIZABETH FASCITELLI 1.00SECRETARY AND DIRECTOR 0. X X 0. 0. 0.ANNE WELSH MCNULTY 1.00TREASURER AND DIRECTOR 0. X X 0. 0. 0.ARTHUR ALTSCHUL, JR. 1.00DIRECTOR 0. X 0. 0. 0.LISA BROOKE 1.00DIRECTOR 0. X 0. 0. 0.RANDOLPH COWEN 1.00DIRECTOR 0. X 0. 0. 0.MARK DOWLEY 1.00DIRECTOR 0. X 0. 0. 0.MICHAEL FASCITELLI 1.00DIRECTOR 0. X 0. 0. 0.PHYLLIS GREEN 1.00DIRECTOR 0. X 0. 0. 0.MARGARET GRIEVE 1.00DIRECTOR 0. X 0. 0. 0.JONATHAN HARRIS 1.00DIRECTOR 0. X 0. 0. 0.CRAIG HATKOFF 1.00DIRECTOR (THROUGH MAY 2018) 0. X 0. 0. 0.JOSEPH HEALEY 1.00DIRECTOR 0. X 0. 0. 0.

0678GL L161 5/3/2019 12:25:35 PM V 17-7.10 310099

Form 990 (2017) Page 8

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued) Part VII

(A) (B) (C) (D) (E) (F)

Estimated

amount of

other

compensation

from the

organization

and related

organizations

Name and title Averagehours per

week (list any

hours for

related

organizations

below dotted

line)

Position




Reportablecompensation

fromthe

organization(W-2/1099-MISC)

Reportablecompensation from

relatedorganizations

(W-2/1099-MISC)

Ind

ivid

ua

l truste

eo

r dire

cto

r

Institu

tion

al tru

stee

Office

r

Key e

mp

loye

e

Hig

he

st com

pe

nsa

ted

em

plo

yee

Fo

rme

r

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m I1b Sub-total m m m m m m m m m m m m m Ic Total from continuation sheets to Part VII, Section Am m m m m m m m m m m m m m m m m m m m m m m m m m m m Id Total (add lines 1b and 1c)2 Total number of individuals (including but not limited to those listed above) who received more than $100,000 of

reportable compensation from the organization IYes No

3 Did the organization list any former officer, director, or trustee, key employee, or highest compensatedemployee on line 1a? If "Yes," complete Schedule J for such individual 3m m m m m m m m m m m m m m m m m m m m m m m m m m

4 For any individual listed on line 1a, is the sum of reportable compensation and other compensation from theorganization and related organizations greater than $150,000? If “Yes,” complete Schedule J for suchindividual 4m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

5 Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individualfor services rendered to the organization? If “Yes,” complete Schedule J for such person 5m m m m m m m m m m m m m m m m

Section B. Independent Contractors

1 Complete this table for your five highest compensated independent contractors that received more than $100,000 ofcompensation from the organization. Report compensation for the calendar year ending with or within the organization's taxyear.

(A)Name and business address

(B)Description of services

(C)Compensation

2 Total number of independent contractors (including but not limited to those listed above) who receivedmore than $100,000 in compensation from the organization I

JSA Form 990 (2017)7E1055 1.000


( 15) ELLEN KATZ 1.00DIRECTOR (THROUGH MAY 2018) 0. X 0. 0. 0.

( 16) HOWARD KATZ 1.00DIRECTOR 0. X 0. 0. 0.

( 17) PREETHI KRISHNA 1.00DIRECTOR 0. X 0. 0. 0.

( 18) CHRISTINE MACK 1.00DIRECTOR 0. X 0. 0. 0.

( 19) RICHARD MACK 1.00DIRECTOR 0. X 0. 0. 0.

( 20) JULIE MINSKOFF 1.00DIRECTOR 0. X 0. 0. 0.

( 21) VALERIE MNUCHIN 1.00DIRECTOR 0. X 0. 0. 0.

( 22) DANIEL NEIDICH 1.00DIRECTOR 0. X 0. 0. 0.

( 23) AMY PHELAN 1.00DIRECTOR 0. X 0. 0. 0.

( 24) JOHN PHELAN 1.00DIRECTOR 0. X 0. 0. 0.

( 25) JOSH RESNICK 1.00DIRECTOR 0. X 0. 0. 0.

0. 0. 0.2,554,368. 0. 111,081.2,554,368. 0. 111,081.

11

X

X

X

ATTACHMENT 2

5

0678GL L161 5/3/2019 12:25:35 PM V 17-7.10 310099

Form 990 (2017) Page 8


(A) (B) (C) (D) (E) (F)

Estimated

amount of

other

compensation

from the

organization

and related

organizations


week (list any

hours for

related

organizations

below dotted

line)

Position





fromthe




(W-2/1099-MISC)

Ind

ivid

ua

l truste

eo

r dire

cto

r

Institu

tion

al tru

stee

Office

r

Key e

mp

loye

e

Hig

he

st com

pe

nsa

ted

em

plo

yee

Fo

rme

r










(C)Compensation


JSA Form 990 (2017)7E1055 1.000


11

X

X

X

( 26) LINNEA ROBERTS 1.00DIRECTOR 0. X 0. 0. 0.

( 27) JANE ROSENTHAL 1.00DIRECTOR 0. X 0. 0. 0.

( 28) JORDAN SCHAPS 1.00DIRECTOR 0. X 0. 0. 0.

( 29) LINDA SCHAPS 1.00DIRECTOR 0. X 0. 0. 0.

( 30) DAVID SHAPIRO 1.00DIRECTOR 0. X 0. 0. 0.

( 31) ZIBBY SCHWARZMAN 1.00DIRECTOR 0. X 0. 0. 0.

( 32) RAM SUNDARAM 1.00DIRECTOR 0. X 0. 0. 0.

( 33) DEVON BRIGER 1.00DIRECTOR 0. X 0. 0. 0.

( 34) DR. HAROLD KOPLEWICZ 40.00PRESIDENT 0. X 1,075,244. 0. 18,570.

( 35) ELIZABETH PLANET 40.00EXECUTIVE DIRECTOR 0. X 318,732. 0. 11,409.

( 36) DAVID RIVERA-GARCIA 40.00DIRECTOR OF FINANCE AND ADMIN. 0. X 211,293. 0. 16,916.

0678GL L161 5/3/2019 12:25:35 PM V 17-7.10 310099

Form 990 (2017) Page 8


(A) (B) (C) (D) (E) (F)

Estimated

amount of

other

compensation

from the

organization

and related

organizations


week (list any

hours for

related

organizations

below dotted

line)

Position





fromthe




(W-2/1099-MISC)

Ind

ivid

ua

l truste

eo

r dire

cto

r

Institu

tion

al tru

stee

Office

r

Key e

mp

loye

e

Hig

he

st com

pe

nsa

ted

em

plo

yee

Fo

rme

r










(C)Compensation


JSA Form 990 (2017)7E1055 1.000


11

X

X

X

( 37) NATALIE CUMBERBATCH 40.00DIRECTOR OF HUMAN RESOURCES 0. X 146,951. 0. 17,139.

( 38) BRETT DAKIN 40.00GENERAL COUNSEL 0. X 211,910. 0. 16,824.

( 39) MICHAEL MILHAM 40.00DIR OF CENTER FOR DEVEL. BRAIN 0. X 245,330. 0. 11,409.

( 40) NAOMI GIGES DOWNEY 40.00DIR. OF DEV.(THROUGH DEC 2017) 0. X 161,694. 0. 12,286.

( 41) DWAYNE FLINCHUM 40.00DIR. OF MARKETING AND COMM. 0. X 183,214. 0. 6,528.

0678GL L161 5/3/2019 12:25:35 PM V 17-7.10 310099

Form 990 (2017) Page 9

Statement of Revenue Part VIII Check if Schedule O contains a response or note to any line in this Part VIII m m m m m m m m m m m m m m m m m m m m m m m m

(C)Unrelatedbusinessrevenue

(B)Related or

exemptfunctionrevenue

(D)Revenue

excluded from taxunder sections

512-514

(A)Total revenue

1a

1b

1c

1d

1e

1f

1a

b

c

d

Federated campaigns

Membership dues

Fundraising events

Related organizations

m m m m m m m mm m m m m m m m m m

m m m m m m m m mm m m m m m m m

f

e Government grants (contributions) m m

g

2a

b

c

d

All other contributions, gifts, grants,

and similar amounts not included above mNoncash contributions included in lines 1a-1f: $

Co

ntr

ibu

tio

ns,

Gif

ts,

Gra

nts

an

d O

the

r S

imil

ar

Am

ou

nts

Ih Total. Add lines 1a-1f m m m m m m m m m m m m m m m m m mBusiness Code

f

e

6a

b

c

b

c

All other program service revenue m m m m mIg Total. Add lines 2a-2fPro

gra

m S

erv

ice R

even

ue

m m m m m m m m m m m m m m m m m m3 Investment income (including dividends, interest,

and other similar amounts) III

I

I

I

I

I

m m m m m m m m m m m m m m m m4

5

Income from investment of tax-exempt bond proceeds

Royalties

mm m m m m m m m m m m m m m m m m m m m m m m m(i) Real (ii) Personal

Gross rents

Less: rental expenses

Rental income or (loss)

m m m m m m m mm m m

m md Net rental income or (loss) m m m m m m m m m m m m m m m m

(i) Securities (ii) Other7a Gross amount from sales of

assets other than inventory

Less: cost or other basis

and sales expenses

Gain or (loss)

m m m mm m m m m m m

d Net gain or (loss) m m m m m m m m m m m m m m m m m m m m8a

b

9a

b

10a

b

11a

b

c

d

e

Gross income from fundraising

events (not including $

of contributions reported on line 1c).

See Part IV, line 18

Less: direct expenses

a

b

a

b

a

b

m m m m m m m m m m mm m m m m m m m m m

c Net income or (loss) from fundraising events m m m m m m mGross income from gaming activities.

See Part IV, line 19 m m m m m m m m m m mLess: direct expenses m m m m m m m m m m

c Net income or (loss) from gaming activities m m m m m m mGross sales of inventory, less

returns and allowances m m m m m m m m mLess: cost of goods sold m m m m m m m m m

c Net income or (loss) from sales of inventory m m m m m m m mMiscellaneous Revenue Business Code

All other revenue

Total. Add lines 11a-11d

m m m m m m m m m m m m mIm m m m m m m m m m m m m m m mI12 Total revenue. See instructions. m m m m m m m m m m m m m

Oth

er

Reven

ue

JSA (2017)Form 9907E1051 1.000


7,382,118.

722,248.

6,374,328.

383,301.

14,478,694.

PROGRAM SERVICE FEES 900099 79,241. 79,241.

79,241.

218,095. 218,095.

0.

0.

0.

11,158,545.

10,983,029.

175,516.

175,516. 175,516.

7,382,118.

282,924.

282,924.

0.

0.

0.

ADMINISTRATIVE SERVICES 900099 887,512. 887,512.

OTHER REVENUE 900099 20,548. 20,548.

908,060.

15,859,606. 987,301. 393,611.

0678GL L161 5/3/2019 12:25:35 PM V 17-7.10 310099

Form 990 (2017) Page 10

Statement of Functional Expenses Part IX Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).

Check if Schedule O contains a response or note to any line in this Part IX m m m m m m m m m m m m m m m m m m m m m m m m(A) (B) (C) (D)Do not include amounts reported on lines 6b, 7b,

8b, 9b, and 10b of Part VIII.Total expenses Program service

expensesManagement andgeneral expenses

Fundraisingexpenses

1 Grants and other assistance to domestic organizations

and domestic governments. See Part IV, line 21 m m m m2 Grants and other assistance to domestic

individuals. See Part IV, line 22 m m m m m m m m m3 Grants and other assistance to foreign

organizations, foreign governments, and foreign

individuals. See Part IV, lines 15 and 16 m m m m m4 Benefits paid to or for members m m m m m m m m m5 Compensation of current officers, directors,

trustees, and key employees m m m m m m m m m m6 Compensation not included above, to disqualified

persons (as defined under section 4958(f)(1)) and

persons described in section 4958(c)(3)(B) m m m m m m7 Other salaries and wages m m m m m m m m m m m m8 Pension plan accruals and contributions (include

section 401(k) and 403(b) employer contributions)

9 Other employee benefits

Payroll taxes

Fees for services (non-employees):

m m m m m m m m m m m m10

11

m m m m m m m m m m m m m m m m m mManagement

Legal

Accounting

Lobbying

12

13

14

15

16

17

18

19

20

21

22

23

24

a

b

c

d

e

f

g

m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m mProfessional fundraising services. See Part IV, line 17 mInvestment management fees m m m m m m m m mOther. (If line 11g amount exceeds 10% of line 25, column

(A) amount, list line 11g expenses on Schedule O.) m m m m m mAdvertising and promotion

Office expenses

Information technology

m m m m m m m m m m mm m m m m m m m m m m m m m m mm m m m m m m m m m m m m

Royalties

Occupancy

Travel

m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m mPayments of travel or entertainment expenses

for any federal, state, or local public officials

Conferences, conventions, and meetings

Interest

Payments to affiliates

Depreciation, depletion, and amortization

Insurance

m m m mm m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m mm m m m

m m m m m m m m m m m m m m m m m m mOther expenses. Itemize expenses not covered

above (List miscellaneous expenses in line 24e. If

line 24e amount exceeds 10% of line 25, column

(A) amount, list line 24e expenses on Schedule O.)

a

b

c

d

e All other expenses

25 Total functional expenses. Add lines 1 through 24e

26 Joint costs. Complete this line only if theorganization reported in column (B) joint costsfrom a combined educational campaign andfundraising solicitation. Check here I iffollowing SOP 98-2 (ASC 958-720) m m m m m m m

JSA Form 990 (2017)7E1052 1.000


0.

580,708. 580,708.

48,193. 48,193.0.

1,591,869. 106,706. 872,341. 612,822.

0.5,850,533. 2,882,422. 2,349,875. 618,236.

211,482. 155,135. 25,475. 30,872.712,405. 449,254. 194,335. 68,816.484,348. 338,342. 95,967. 50,039.

0.38,124. 18,441. 18,297. 1,386.63,367. 38,020. 19,010. 6,337.

101. 101.201,700. 201,700.46,547. 46,547.

220,893. 86,192. 75,255. 59,446.19,946. 9,557. 679. 9,710.

307,880. 226,052. 43,162. 38,666.674,409. 438,712. 97,768. 137,929.

0.1,491,723. 732,389. 661,488. 97,846.

195,182. 83,488. 22,518. 89,176.

0.164,391. 161,820. 1,921. 650.

0.0.

358,204. 295,402. 41,106. 21,696.184,241. 97,700. 70,066. 16,475.

SUB-CONTRACTORS 2,466,867. 2,325,550. 43,154. 98,163.PAYROLL PROCESSING FEES 143,558. 116,138. 22,558. 4,862.BANK FEES 64,088. 9,775. 20,496. 33,817.MARKETING 303,234. 171,096. 99,832. 32,306.

416,102. 196,784. 42,716. 176,602.16,840,095. 9,567,876. 4,864,667. 2,407,552.

0.

0678GL L161 5/3/2019 12:25:35 PM V 17-7.10 310099

Form 990 (2017) Page 11Balance SheetPart X

Check if Schedule O contains a response or note to any line in this Part X m m m m m m m m m m m m m m m m m m m m m(A)

Beginning of year(B)

End of year

Cash - non-interest-bearing

Savings and temporary cash investments

Pledges and grants receivable, net

Accounts receivable, net

1

2

3

4

5

6

7

8

9

10c

11

12

13

14

15

16

17

18

19

20

21

22

23

24

25

26

1

2

3

4

5

m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m

Loans and other receivables from current and former officers, directors,

trustees, key employees, and highest compensated employees.

Complete Part II of Schedule L m m m m m m m m m m m m m m m m m m m m m m m m mLoans and other receivables from other disqualified persons (as defined under section4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employersand sponsoring organizations of section 501(c)(9) voluntary employees' beneficiaryorganizations (see instructions). Complete Part II of Schedule L

6

m m m m m m m m m m m mNotes and loans receivable, net

Inventories for sale or use

Prepaid expenses and deferred charges

7

8

9

m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m

10a

10b

10

11

12

13

14

15

16

a Land, buildings, and equipment: cost or

other basis. Complete Part VI of Schedule D

Less: accumulated depreciationb m m m m m m m m m mInvestments - publicly traded securities

Investments - other securities. See Part IV, line 11

Investments - program-related. See Part IV, line 11

Intangible assets

Other assets. See Part IV, line 11

Total assets. Add lines 1 through 15 (must equal line 34)

m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m

m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m

As

se

ts

17

18

19

20

Accounts payable and accrued expenses

Grants payable

Deferred revenue

Tax-exempt bond liabilities

m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m

21

22

23

24

25

26

Escrow or custodial account liability. Complete Part IV of Schedule D m m m mLoans and other payables to current and former officers, directors,

trustees, key employees, highest compensated employees, and

disqualified persons. Complete Part II of Schedule L m m m m m m m m m m m m m mSecured mortgages and notes payable to unrelated third parties

Unsecured notes and loans payable to unrelated third partiesm m m m m m m

m m m m m m m m mOther liabilities (including federal income tax, payables to related third

parties, and other liabilities not included on lines 17-24). Complete Part X

of Schedule D m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mI

Total liabilities. Add lines 17 through 25 m m m m m m m m m m m m m m m m m m m m

Lia

bil

itie

s

andOrganizations that follow SFAS 117 (ASC 958), check herecomplete lines 27 through 29, and lines 33 and 34.

27

28

29

30

31

32

33

34

Unrestricted net assets

Temporarily restricted net assets

Permanently restricted net assets

Capital stock or trust principal, or current funds

Paid-in or capital surplus, or land, building, or equipment fund

Retained earnings, endowment, accumulated income, or other funds

Total net assets or fund balances

Total liabilities and net assets/fund balances

27

28

29

30

31

32

33

34

m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m

Im m m m m m m m m m m m m m m m m m m m m m m m

Organizations that do not follow SFAS 117 (ASC 958), check here

complete lines 30 through 34.

and

m m m m m m m m m m m m m m m mm m m m m m m m

m m m mm m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m mN

et

As

se

ts o

r F

un

d B

ala

nces

Form 990 (2017)

JSA

7E1053 1.000


673,917. 1,444,784.2,152,137. 2,977,115.

13,107,955. 11,080,712.30,038. 157,013.

0. 0.

0. 0.0. 0.0. 0.

386,038. 481,123.

6,202,907.2,621,047. 1,285,787. 3,581,860.

8,300,799. 5,845,851.0. 0.0. 0.0. 0.

1,337,688. 1,070,610.27,274,359. 26,639,068.1,379,263. 1,851,710.

0. 0.0. 0.0. 0.0. 0.

0. 0.0. 0.0. 0.

666,975. 852,256.2,046,238. 2,703,966.

X

6,930,835. 6,555,590.16,297,286. 15,379,512.2,000,000. 2,000,000.

25,228,121. 23,935,102.27,274,359. 26,639,068.

0678GL L161 5/3/2019 12:25:35 PM V 17-7.10 310099

Form 990 (2017) Page 12

Reconciliation of Net Assets Part XI Check if Schedule O contains a response or note to any line in this Part XI m m m m m m m m m m m m m m m m m m m m

1

2

3

4

5

6

7

8

9

10

1

2

3

4

5

6

7

8

9

Total revenue (must equal Part VIII, column (A), line 12)

Total expenses (must equal Part IX, column (A), line 25)

Revenue less expenses. Subtract line 2 from line 1

Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A))

Net unrealized gains (losses) on investments

Donated services and use of facilities

Investment expenses

Prior period adjustments

Other changes in net assets or fund balances (explain in Schedule O)

m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m

m m m m m m m m m m m m m m m m10 Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line

33, column (B)) m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mFinancial Statements and Reporting Part XII Check if Schedule O contains a response or note to any line in this Part XII m m m m m m m m m m m m m m m m m m m

Yes No

1 Accounting method used to prepare the Form 990: Cash Accrual Other

If the organization changed its method of accounting from a prior year or checked "Other," explain in

Schedule O.

2a

2b

2c

3a

3b

2a Were the organization's financial statements compiled or reviewed by an independent accountant? m m m m m m mIf "Yes," check a box below to indicate whether the financial statements for the year were compiled orreviewed on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

b

c

a

Were the organization's financial statements audited by an independent accountant? m m m m m m m m m m m m m mIf "Yes," check a box below to indicate whether the financial statements for the year were audited on aseparate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

If "Yes" to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight

of the audit, review, or compilation of its financial statements and selection of an independent accountant?

If the organization changed either its oversight process or selection process during the tax year, explain in

Schedule O.

3 As a result of a federal award, was the organization required to undergo an audit or audits as set forth in

the Single Audit Act and OMB Circular A-133? m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mb If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the

required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.

Form 990 (2017)

JSA

7E1054 1.000


X15,859,606.16,840,095.

-980,489.25,228,121.

-212,530.0.0.0.

-100,000.

23,935,102.

X

X

X

X

X

X

0678GL L161 5/3/2019 12:25:35 PM V 17-7.10 310099

OMB No. 1545-0047SCHEDULE A Public Charity Status and Public Support(Form 990 or 990-EZ)

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust. À¾µ»I Attach to Form 990 or Form 990-EZ.Department of the Treasury Open to Public Inspection I Go to www.irs.gov/Form990 for instructions and the latest information.Internal Revenue Service

Name of the organization Employer identification number

Reason for Public Charity Status (All organizations must complete this part.) See instructions. Part I The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

1

2

3

4

5

6

7

8

9

10

11

12

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the

hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public

described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in section 170(b)(1)(A)(ix) operated in conjunction with a land-grant college

or university or a non-land-grant college of agriculture (see instructions). Enter the name, city, and state of the college or

university:

An organization that normally receives: (1) more than 331/3 % of its support from contributions, membership fees, and grossreceipts from activities related to its exempt functions - subject to certain exceptions, and (2) no more than 331/3 %of itssupport from gross investment income and unrelated business taxable income (less section 511 tax) from businessesacquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes

of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3).

Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

a

b

c

d

e

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving

the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the

supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having

control or management of the supporting organization vested in the same persons that control or manage the supported

organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with,

its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s)

that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness

requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III

functionally integrated, or Type III non-functionally integrated supporting organization.f

g

Enter the number of supported organizations

Provide the following information about the supported organization(s).

m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m(i) Name of supported organization (ii) EIN (iii) Type of organization

(described on lines 1-10above (see instructions))

(iv) Is the organizationlisted in your governing

document?

(v) Amount of monetarysupport (seeinstructions)

(vi) Amount ofother support (see

instructions)

Yes No

(A)

(B)

(C)

(D)

(E)

Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ. Schedule A (Form 990 or 990-EZ) 2017JSA7E1210 1.000


X

0678GL L161 5/3/2019 12:25:35 PM V 17-7.10 310099

Schedule A (Form 990 or 990-EZ) 2017 Page 2

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify underPart III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Part II

Section A. Public Support(a) 2013 (b) 2014 (c) 2015 (d) 2016 (e) 2017 (f) TotalICalendar year (or fiscal year beginning in)

1 Gifts, grants, contributions, andmembership fees received. (Do notinclude any "unusual grants.") m m m m m m

2 Tax revenues levied for theorganization's benefit and either paid

to or expended on its behalf m m m m m m m3 The value of services or facilities

furnished by a governmental unit to theorganization without charge m m m m m m m

4 Total. Add lines 1 through 3 m m m m m m m5 The portion of total contributions by

each person (other than agovernmental unit or publiclysupported organization) included online 1 that exceeds 2% of the amountshown on line 11, column (f) m m m m m m m

6 Public support. Subtract line 5 from line 4

Section B. Total Support(a) 2013 (b) 2014 (c) 2015 (d) 2016 (e) 2017 (f) TotalICalendar year (or fiscal year beginning in)

7 Amounts from line 4 m m m m m m m m m m m8 Gross income from interest, dividends,

payments received on securities loans,rents, royalties, and income fromsimilar sources m m m m m m m m m m m m m

9 Net income from unrelated businessactivities, whether or not the business

is regularly carried on m m m m m m m m m m10 Other income. Do not include gain or

loss from the sale of capital assets

(Explain in Part VI.) m m m m m m m m m m m11 Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions)

m m12

14

15

12 m m m m m m m m m m m m m m m m m m m m m m m m m m13 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)

Iorganization, check this box and stop here m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mSection C. Computation of Public Support Percentage

%

%

14 Public support percentage for 2017 (line 6, column (f) divided by line 11, column (f))

Public support percentage from 2016 Schedule A, Part II, line 14

m m m m m m m m m15 m m m m m m m m m m m m m m m m m m m16a 33 1/3 % support test - 2017. If the organization did not check the box on line 13, and line 14 is 331/3 % or more, check this

box and stop here. The organization qualifies as a publicly supported organization II

I

II

m m m m m m m m m m m m m m m m m m m m m mb 33 1/3 % support test - 2016. If the organization did not check a box on line 13 or 16a, and line 15 is 331/3 % or more, check

this box and stop here. The organization qualifies as a publicly supported organization m m m m m m m m m m m m m m m m m m m17a 10%-facts-and-circumstances test - 2017. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is

10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in

Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported

organization m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mb 10%-facts-and-circumstances test - 2016. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line

15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.

Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly

supported organization m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m18 Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see

instructions m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mSchedule A (Form 990 or 990-EZ) 2017

JSA

7E1220 1.000


11,448,199. 10,494,029. 17,344,498. 16,172,646. 14,478,694. 69,938,066.

0.

0.

11,448,199. 10,494,029. 17,344,498. 16,172,646. 14,478,694. 69,938,066.

6,963,885.

62,974,181.

11,448,199. 10,494,029. 17,344,498. 16,172,646. 14,478,694. 69,938,066.

7,119. 147,648. 163,417. 181,096. 218,095. 717,375.

0.

639,285. 582,502. 678,167. 778,959. 908,060. 3,586,973.ATCH 174,242,414.

157,499.

84.8284.54

X

0678GL L161 5/3/2019 12:25:35 PM V 17-7.10 310099


Support Schedule for Organizations Described in Section 509(a)(2)(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II.If the organization fails to qualify under the tests listed below, please complete Part II.)

Part III

Section A. Public Support(a) 2013 (b) 2014 (c) 2015 (d) 2016 (e) 2017 (f) TotalICalendar year (or fiscal year beginning in)

1 Gifts, grants, contributions, and membership fees

received. (Do not include any "unusual grants.")

2 Gross receipts from admissions, merchandise

sold or services performed, or facilities

furnished in any activity that is related to the

organization's tax-exempt purpose m m m m m m3 Gross receipts from activities that are not an

unrelated trade or business under section 513 m4 Tax revenues levied for the

organization’s benefit and either paid to

or expended on its behalf m m m m m m m m5 The value of services or facilities

furnished by a governmental unit to the

organization without charge m m m m m m m6 Total. Add lines 1 through 5 m m m m m m m7a Amounts included on lines 1, 2, and 3

received from disqualified persons m m m mb Amounts included on lines 2 and 3

received from other than disqualified

persons that exceed the greater of $5,000

or 1% of the amount on line 13 for the year

c Add lines 7a and 7b m m m m m m m m m m m8 Public support. (Subtract line 7c from

line 6.) m m m m m m m m m m m m m m m m mSection B. Total Support

(a) 2013 (b) 2014 (c) 2015 (d) 2016 (e) 2017 (f) TotalICalendar year (or fiscal year beginning in)9 Amounts from line 6 m m m m m m m m m m m

10 a Gross income from interest, dividends,payments received on securities loans,rents, royalties, and income from similarsources m m m m m m m m m m m m m m m m m

b Unrelated business taxable income (less

section 511 taxes) from businesses

acquired after June 30, 1975 m m m m m mc Add lines 10a and 10b m m m m m m m m m

11 Net income from unrelated businessactivities not included in line 10b,whether or not the business is regularlycarried on m m m m m m m m m m m m m m m m

12 Other income. Do not include gain or

loss from the sale of capital assets

(Explain in Part VI.) m m m m m m m m m m m13 Total support. (Add lines 9, 10c, 11,

and 12.) m m m m m m m m m m m m m m m m14 First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3)

organization, check this box and stop here Im m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m m mSection C. Computation of Public Support Percentage15

16

Public support percentage for 2017 (line 8, column (f) divided by line 13, column (f))

Public support percentage from 2016 Schedule A, Part III, line 15

15

16

17

18

%

%

%

%

m m m m m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m m m mSection D. Computation of Investment Income Percentage17

18

19

20

Investment income percentage for 2017 (line 10c, column (f) divided by line 13, column (f))

Investment income percentage from 2016 Schedule A, Part III, line 17

m m m m m m m m m mm m m m m m m m m m m m m m m m m m m m

a

b

33 1/3 % support tests - 2017. If the organization did not check the box on line 14, and line 15 is more than 331/3 %, and line

I17 is not more than 331/3 %, check this box and stop here. The organization qualifies as a publicly supported organization m33 1/3 % support tests - 2016. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 331/3 %, and

Iline 18 is not more than 331/3 %, check this box and stop here. The organization qualifies as a publicly supported organizationIPrivate foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions

JSA Schedule A (Form 990 or 990-EZ) 20177E1221 1.000


0678GL L161 5/3/2019 12:25:35 PM V 17-7.10 310099


Supporting Organizations Part IV (Complete only if you checked a box in line 12 on Part I. If you checked 12a of Part I, complete Sections Aand B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, completeSections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes No

1

2

3

4

5

Are all of the organization's supported organizations listed by name in the organization's governing

documents? If "No," describe in Part VI how the supported organizations are designated. If designated by

class or purpose, describe the designation. If historic and continuing relationship, explain. 1

2

3a

3b

3c

4a

4b

4c

5a

5b

5c

6

7

8

9a

9b

9c

10a

10b

Did the organization have any supported organization that does not have an IRS determination of status

under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported

organization was described in section 509(a)(1) or (2).

a

b

c

a

b

c

a

b

c

a

b

c

Did the organization have a supported organization described in section 501(c)(4), (5)

Documents

Return of Organization Exempt From Income Tax · 2019. 5. 21. · Application for Automatic Extension of Time To File an Exempt Organization Return Form 86 (Rev. IJanuary 2017) OMB